American Medical Compliance

MARCH 15, 2024

Furthermore, it prohibits knowingly submitting false or false claims to Medicare, Medicaid, or other federally funded healthcare programs. HIPAA regulations govern the use, disclosure, and safeguarding of protected health information (PHI) by covered entities and their business associates.

HIPAA 105

HIPAA Self-Care Health Insurance Best Practices 105

American Medical Compliance

JUNE 21, 2024

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. However, they do not align with accepted medical or business practices. Unlike fraud, waste is not necessarily intentional but results from inefficiencies.

Medicaid 105

Medicaid Continuing Education Medicare Communication 105

American Nurse

JULY 2, 2024

Kim King Kim King, MSN, FNP-C, who consults on cannabis care through her business, Thrive to Care and Wellness Education Consulting, hopes to see cannabis education added to nursing program curricula in the next 5 years. We’ve got to educate all nurses, from LPNs to RNs to APRNs,” she said. It needs to go further,” she said.

Business 105

Business Education Nurse Practitioner Self-Care 105

Minority Nurse

NOVEMBER 13, 2023

Ferrara is a busy man, wearing many hats. And sometimes you are so busy with your work and personal life that you can’t possibly volunteer any more time, and that’s okay. There are many outdated laws or policies, particularly Medicare and Medicaid. I want to lend my talent.” But we want you to be a member.

Nurse Practitioner 116

Nurse Practitioner Medicaid Medicare Leadership 116

Consult QD

JULY 18, 2023

Origins and COVID-19 impact The program arose from Cleveland Clinic’s desire to leverage technology to make emergency care more accessible and from the healthcare system’s initial experience with a Centers for Medicare and Medicaid Services payment model called Emergency Triage, Treat, and Transport (ET3). So we evolved to that model.”

Medicare 91

Medicare Medicaid Business Emergency Care 91

Healthcare Law Insights blog

APRIL 25, 2022

Prior to the pandemic a Centers for Medicare and Medicaid pilot study yielded positive results with respect to hospital readmission rates and follow-up emergency department visits. The Acute Care Hospital at Home model (ACHAH) provides traditional hospital inpatient acute-level services at home.

Medicaid 52

Medicaid Medicare Patient Satisfaction Business 52

American Nurse

MARCH 5, 2024

Recently, I had the privilege of meeting with Governor Kelly and several healthcare organizations in Kansas to discuss strategies for passing legislation on Medicaid expansion for the state. The discussions included alarming statistics, such as the closure of hospitals, pharmacies, doctor offices, and small businesses in Kansas.

Medicaid 40

Medicaid Leadership Business 40

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. Abuse refers to provider practices that are inconsistent with sound business, medical, and fiscal practices. Abuses create a variety of issues, including: Wasteful Medicaid and Medicare program expenses.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. Abuse refers to provider practices that are inconsistent with sound business, medical, and fiscal practices. Abuses create a variety of issues, including: Wasteful Medicaid and Medicare program expenses.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

Relias

FEBRUARY 2, 2023

The 2023 Home Health Final Payment Rule , which the Centers for Medicare and Medicaid Services (CMS) released in October, increases Medicare payments for home health agencies by 0.7%, or $125 million, compared to 2022. How will the 2023 final rule affect your business? While this seems like a treat, William A.

Medicare 52

Medicare Medicaid Business 52

Capitol Beat

JANUARY 4, 2024

Not surprisingly, the main focus of advocacy is the federal Department of Health and Human Services (HHS) and its subagency, the Centers for Medicare and Medicaid Services (CMS). In May 2023, OSHA conducted a Small Business Review of a proposed standard.

APRN 73

APRN Medicare Long Term Care Medicaid 73

IntelyCare

SEPTEMBER 13, 2023

With the end of this fiscal year approaching, The Centers for Medicare and Medicaid Services (CMS) decided to set off its New Year’s fireworks a little early. These actions could include the termination of the provider agreement, denial of payments under Medicare and Medicaid, and other civil penalties. What’s the difference?

Long Term Care 52

Long Term Care Medicaid Medicare LPN 52

Relias

OCTOBER 20, 2021

Salesforce , one of the foremost technology companies in the world: “Digital transformation is the process of using digital technologies to create new — or modify existing — business processes, culture, and customer experiences to meet changing business and market requirements. Medicaid beneficiaries use telehealth services.

Medicaid 52

Medicaid Business Best Practices Medicare 52

Healthcare Law Insights blog

MARCH 25, 2022

OSHA is considering whether to limit provisions regarding support for vaccinations to employees not covered by the Centers for Medicare & Medicaid Services (CMS). OSHA is not considering mandating vaccines for employees.

Medicaid 52

Medicaid Medicare Business 52

Relias

NOVEMBER 4, 2021

A team of competent, compassionate, and qualified clinicians forms the backbone of every profitable home health business. The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. Specializations Can Enhance Care Team Competency.

Medicare 52

Medicare Business Medicaid Professional Development 52

Celayix

FEBRUARY 7, 2023

This can also lead to decreased business and reduced revenue. This is a huge issue for both patients, and business owners in home healthcare. There is also the patient family, and the patient insurance provider, or the government in the case of Medicare or Medicaid. One of the most common issues is late or missed home visits.

Home Healthcare 52

Home Healthcare Medicaid Business Medicare 52

Relias

JANUARY 11, 2023

But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. By 2005, the Centers for Medicare and Medicaid Services (CMS) began piloting value-based care programs that linked payment to quality measures.

Medicare 52

Medicare Medicaid Patient Satisfaction Business 52

Relias

MARCH 15, 2022

One wants to consider vendors that are known to be leaders in the field, in terms of number, volume and size of clients; years in business; and proven performance,” said Woerly. I tell people all the time: An outsource partner is an extension of your business office,” said Phillip E. There are some caveats, however.

Business 52

Business Legal Issues Medicaid Education 52

Relias

NOVEMBER 16, 2022

In April, the Centers for Medicare and Medicaid Services proposed a $320 million decrease in Medicare payments to skilled nursing facilities for fiscal year 2023. Building wound care expertise and maximizing your organization’s reimbursements through the Patient Driven Payment Model (PDPM) is now more essential than ever.

Education 10

Education Medicare Medicaid Business 10

Relias

APRIL 18, 2022

Your business model revolves around competent clinicians, care quality, and reimbursements. When you invest in educating clinicians as wound care specialists, you can put your organization in a stronger business position by: Developing a team with clinical expertise in wound and ostomy care. Build Your Reputation as a Specialist.

Education 52

Education Medicare Promotion Medicaid 52

Relias

OCTOBER 28, 2022

The Centers for Medicare and Medicaid Services (CMS) is ramping up survey scrutiny for hospice this year, training surveyors to focus on interdisciplinary group care planning and coordination of care as part of an emphasis on meeting four core Conditions of Participation. Busy clinical managers can’t bear the documentation burden alone.

Care coordination 52

Care coordination Communication Medicaid Medicare 52

Relias

JUNE 1, 2022

It’s an unfair business practice.” Another case alleged that a health system defrauded the Centers for Medicare and Medicaid Services of $1 billion because doctors were pressured to add diagnosis codes to medical records that were nonexistent or unrelated to the visit. Revenue cycle leaders are pushing back against this practice.

Outpatient Clinic 52

Outpatient Clinic Retirement Legal Issues Medicaid 52

Relias

JUNE 1, 2022

It’s an unfair business practice.” Another case alleged that a health system defrauded the Centers for Medicare and Medicaid Services of $1 billion because doctors were pressured to add diagnosis codes to medical records that were nonexistent or unrelated to the visit. Revenue cycle leaders are pushing back against this practice.

Outpatient Clinic 52

Outpatient Clinic Retirement Legal Issues Medicaid 52

American Nurse

APRIL 2, 2024

School and business closures exacerbated food insecurity and income inequality. ANA considers these numbers a first step toward direct reimbursement for nursing services from Medicare and Medicaid. Many Black and Brown populations couldn’t socially isolate because of their housing and employment situations.

Health Insurance 52

Health Insurance Chief Nursing Officer Medicaid Medicare 52

American Nurse

SEPTEMBER 5, 2024

Missouri skilled nursing facility residents (N=253) reported that 49% of residents rely on staff to clean their mouth, many have no Medicare dental coverage, and Medicaid covers a limited number of dental services (The Oral Health of Adults, 2022). link] Business Research Methodology. American Journal of Pharmaceutical Education.

Medicare 52

Medicare Self-Care Promotion Communication 52

Consult QD

JUNE 16, 2023

Direct-to-consumer testing is transparent in that it is a consumer-business relationship with costs up front. Advantages and disadvantages Sponsored genetic testing is available for many disorders, including epilepsy, skeletal dysplasia and cardiomyopathies.

Pharmaceutical 52

Pharmaceutical Medicaid Patient Advocacy Self-Care 52

American Nurse

JULY 18, 2024

It saves money for Medicare and Medicaid, and it’s exactly what the people want. Balina highlighted the confluence of costs and care: “It has been proven again and again that this approach saves money. It’s a rare situation where economics and care align. It saves money for everyone. That never happens.” Our goal is their goal.

Business 98

Business Medicare Medicaid 98

Health Leaders | Nursing

SEPTEMBER 5, 2023

Hartl's business model is to establish relationships with local hospitals and communities, rather than just setting up a telemedicine platform and letting the chips fall where they may. of full-time NPs seeing Medicare patients and 82% seeing Medicaid patients. Medicare is about 46% and Medicaid is about 14%.

Medicare 116

Medicare Medicaid Telemedicine Nurse Practitioner 116

American Nurse

APRIL 30, 2024

That’s made it easier for nurse practitioners to start their own businesses,” said Palicki, an ANA-Ohio member. In this role, she leads projects and advises within the agency aimed at improving care for Medicaid beneficiaries in Texas. Texas has the third largest Medicaid program in the U.S., It’s been easier than I thought!”

Medicaid 116

Medicaid APRN Health Literacy Nurse Practitioner 116

Scrubs

JUNE 6, 2023

I put together a business plan with a friend of mine who’s a business consultant. “I was so hopeful that I would be able to go someplace else in the community and be able to find someone,” she told NC Health News. “I I had that hope because we had such a need. They were so excited.

Private Practice 104

Private Practice Medicaid Business Best Practices 104

Scrubs

AUGUST 18, 2023

However, these requirements do not apply to those covered under Medicaid, notably low-income women, who have disproportionately lower rates of breastfeeding compared to the general population. The FLSA only applies to businesses that engage in interstate commerce and those that have gross revenues of at least $500,000 per year.

Medicaid 95

Medicaid Health Insurance Promotion Business 95

Healthcare Law Insights blog

JULY 17, 2023

Last week, the Centers for Medicare & Medicaid Services issued a Proposed Rule that, if finalized, would extend the application of the “36-Month Rule” from home health agencies (“HHAs”) to also include hospice agencies as well. The 36-Month Rule, found at 42 C.F.R.

Medicare 52

Medicare Medicaid Business Licensing 52

Capitol Beat

DECEMBER 22, 2022

This year was a busy and turbulent time for all of us as we continued to navigate life under the COVID-19 pandemic—and nobody knows this more than nurses and healthcare workers. If enacted, this bill will remove practice barriers for advanced practice registered nurses (APRNs), improving access to care for Medicare and Medicaid patients.

Medicaid 52

Medicaid Medicare APRN Chief Nursing Officer 52

Relias

OCTOBER 10, 2022

Recently, the Centers for Medicare and Medicaid Services’ (CMS) Special Focus Facility Program report listed nursing homes that have not met the CMS’ health care or fire safety standards. That would be terrible for your reputation and would hurt your business.

Medicaid 52

Medicaid Medicare Self-Care Licensing 52

American Nurse

FEBRUARY 29, 2024

Long-term care minimum staffing rule In 2023, ANA maintained pressure on the Department of Health and Human Services (HHS) and its subagency the Centers for Medi-care and Medicaid Services (CMS) to address the nurse staffing crisis. These issues have caused widespread and historic nurse strikes.

APRN 52

APRN Medicare Long Term Care Medicaid 52

American Nurse

FEBRUARY 21, 2024

Introduction SOUTH CAROLINA is predominately a rural state that consistently demonstrates poor health rankings, due to the lack of Medicaid expansion, healthcare deserts, and a decreasing physician supply.

APRN 52

APRN Nurse Practitioner Clinical Nurse Specialist Medicare 52

Relias

APRIL 6, 2022

New requirements from the Centers for Medicare and Medicaid Services (CMS) announced in November 2021 and a new time-limited enforcement effort by the Occupational Safety and Health Administration (OSHA) announced in March call for focused inspections and put a higher level of scrutiny on nursing home compliance and the quality of care provided.

Medicare 52

Medicare Medicaid Business Education 52